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Discovery Call Application
Name
*
Surname
*
Email address
*
Cell number
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Location
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Age
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Age
A
Under 20
B
Between 20 and 29
C
Between 30 and 39
D
Between 40 and 49
E
Between 50 and 55
F
Between 55 and 65
G
Over 65
H
Choose which best describes
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Choose which best describes
A
Business Owner
B
Entrepreneur
C
Professional
D
Executive
E
Unemployed
F
Other
If you selected other please specify below. (If this is left blank please add N/A)
*
Please be specific in your answers. Rather give me to much information than to little.
Why do you feel that you are ready for change now? Maximum 5 sentences
What kind of support from a coach would be the most helpful for you to receive now to take you to a higher level in your life and in your career/ business?
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Is this something you want to work on now or later? And please also specify why you would like to work on this now or later?
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Which most applies to you?
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Which most applies to you?
A
I want my health to improve
B
I want to shift the quality of my relationships
C
I want to work on my inner peace and balance
D
I want my finances to improve
How committed are you to taking small steps and learning new skills where you are manifesting a life that you love?
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How committed are you to taking small steps and learning new skills where you are manifesting a life that you love?
1 stars
2 stars
3 stars
4 stars
5 stars
Are you currently working with a coach or have you recently done a course or will be participating in a course in the near future? Please provide details if yes
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Do you have the resources to make the most of an opportunity to become an Empowered and Unstoppable Master At Manifestation?
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Do you have the resources to make the most of an opportunity to become an Empowered and Unstoppable Master At Manifestation?
A
Absolutely- and I am prepared to invest time and money to achieve this
B
Not right now- but I am resourceful and I'd be prepared to make a plan for the right type of intervention
C
No- right now I am looking for complimentary advice
Please acknowledge that you understand that this is a Discovery call where we will go deeper into where you currently are in your life, where you would like to go and what is standing in your way.
*
This is not a coaching call. Your participation and vulnerability on this call will be essential for you to receive the most benefit from it☺️
Please acknowledge that you understand that this is a Discovery call where we will go deeper into where you currently are in your life, where you would like to go and what is standing in your way.
A
Yes I agree
B
No I don't agree
Is there anything you would like to tell me? Please specify it here. Maximum 5 sentences.
*
Do you give permission for communication to be sent to your WhatsApp number/ e-mail address?
*
Do you give permission for communication to be sent to your WhatsApp number/ e-mail address?
A
Yes
B
No
* If you answered no we will not be able to send you further correspondence
Submit